| NPI | 1205290665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 109446) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.013644) |
| 207R00000X Internal Medicine (Licence: OH 34.013644) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2026-06-08 |